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Montrose County Weed Mitigation Department <br />161 S. Townsend Ave, Montrose, CO 81401 <br />Date: 5 °) jam. Location: L& S a, ( P'+ <br />Start Time: Address: 1 <br />End Time: Contact Info: 1 a tiS� L(p <br />Mileage Start: Mileage End: <br />East End West End RO� fEel Pit Grant Funded Facilities USFS <br />BLM 8 CDOT Airprt Project Special Proj h <br />P 1 Other Gov. Other Agency <br />Tank/Herbicide #: <br />Tank/Herbicide #: <br />Herbicide Applied: v <br />Herbicide Applied: <br />EPA Reg. #: — <br />EPA Reg. #: <br />Manufacturer: 11 N3 <br />Manufacturer: <br />Application Rate <br />Application Rate <br />Tank/Herbicide #: <br />Surfactant Applied: <br />G&64' Plus <br />Herbicide Applied: <br />Manufacturer: <br />Corn It <br />EPA Reg. #: <br />Application Rate: <br />1 -&110arts er /100 gal carrier <br />Manufacturer: <br />Application Rate <br />Surfactant Applied: <br />Pre) id 90 <br />Manufacturer: <br />Corn It <br />Tank/Herbicide #: <br />Application Rate: <br />1 a er /100 gai carrier <br />Herbicide Applied: <br />EPA Reg. #: <br />Dye Used: <br />Manufacturer: <br />Other: <br />Application Rate <br />Other: <br />Target Species: F-1 HC E] RKW r-1 SKW F] YST 0 YTF E] PLS ❑ Broadleaves F-1 Grasses <br />Other: <br />Application Type: [:] Truck [] UTV Argo Backpack EJ Mechanical E] Other IM <br />Transportation: r-1 03 Chevy 11 06 Chevy Ford Dodge Tandem Axle Single Axle <br />Tank # Total Herbicide Acres Treated Gallons Water Applicator Name Total Acres Acres Treated <br />NPDES Application <br />Vegetation Conditions <br />Notes: <br />'otal Cost: <br />Labor: � G �, cl <br />Herbicide: <br />Adjuvant: <br />